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Evidenced-Based Opioid Prescribing Recommendations Following Hand and Upper-Extremity Surgery
Journal article   Open access   Peer reviewed

Evidenced-Based Opioid Prescribing Recommendations Following Hand and Upper-Extremity Surgery

Alexander J. Adams and Asif M. Ilyas
Journal of hand surgery global online, v 4(5), pp 276-282
01 Sep 2022
DOI: https://doi.org/10.1016/j.jhsg.2022.06.006
PMID: 36157302
url
https://doi.org/10.1016/j.jhsg.2022.06.006View
Published, Version of Record (VoR) Open

Abstract

Evidence-based Opioids Postoperative analgesia Recommendations Upper extremity
The United States’ opioid epidemic has taken an immense toll over the past 2 decades when assessed by morbidities, mortalities, and economic costs. Prescription opioids are a substantial contribution to this public health emergency, and it is critical for health care providers to practice good analgesic stewardship. Interventions have effectively curtailed opioid overuse, including prescription drug monitoring programs, educational initiatives, and multimodal analgesia strategies. Surgeons, particularly hand surgeons or those who perform musculoskeletal procedures, have been implicated as high-volume opioid prescribers. Guidelines for appropriate opioid dosing and analgesic management strategies after common hand and upper-extremity surgeries are sparse and offer an area for meaningful improvement. We sought to generate comprehensive, evidence-based recommendations for postoperative analgesia regimens for common hand and upper-extremity procedures.

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5 citations in Scopus

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